Individual
AMANDA MADUKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
606 S GREENVILLE WEST DR, GREENVILLE, MI 48838-3513
(616) 225-7710
Mailing address
606 S GREENVILLE WEST DR, GREENVILLE, MI 48838-3513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040396
MI
Other
Enumeration date
01/28/2015
Last updated
01/29/2015
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